Endoscopic Submucosal Dissection for Colorectal Lesions in a Community-based European Hospital: Experience and Learning Curve

Colorectal ESD is a feasible and can be self-taught in non-tertiary hospitals, achieving outcomes comparable to those reported in specialized centers, under appropriate case selection. Although conventional ESD achieves higher en-bloc and R0-resections than hybrid ESD, the latter may serve as a rescue option in selected cases.